Background to this inspection
Updated
13 May 2023
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
The provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 28 March 2023 and ended on 14 April 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We reviewed a range of records relating to care and support, this included care plans, and risk assessments. We reviewed 2 staff files in relation to recruitment and training. We reviewed records related to the management of the service, which included complaints, audits and a range of policies and procedures.
We spoke with the registered manager. We received feedback from 3 care workers. We contacted health professionals but received no feedback.
Updated
13 May 2023
About the service
Anrapheal Care Agency is a domiciliary care agency. It provides personal care for people living in their own homes. It provides a service to older adults, people with learning disabilities and people with physical disabilities. At the time of our inspection 1 person was using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Right support: Model of care and setting maximises people’s choices, control and independence. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture as it is registered as a specialist service for this population group.
Right care: Care is person-centred and promotes people’s dignity, privacy and human rights.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The provider completed checks to ensure suitable staff were employed at the service. Checks included suitable conduct in previous social care employment, relevant experience and workers right to reside or work in the UK.
The provider had a range of quality assurance audits and checks in place to monitor how care was being provided. Staff said they received unannounced spot checks every two weeks.
New care workers received an induction at the beginning of their employment and were given training to ensure they had the appropriate skills to deliver the suitable care.
Processes were in place to ensure the safe management of medicines. Risk assessments were in place to guide staff on how to care for people safely. There were systems in place for reporting incidents if required. Preventative measures and lessons learned were suitably documented.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was inspected on 31 May 2022. There was insufficient evidence to provide an overall rating for the service at this inspection (inspection report published 15 July 2022)
Why we inspected
The inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.